每项收费对全科医生行为的影响。

The effect of per-item fees on the behaviour of general practitioners.

作者信息

Hughes D, Yule B

机构信息

Department of Public Health, University of Aberdeen, UK.

出版信息

J Health Econ. 1992 Dec;11(4):413-37. doi: 10.1016/0167-6296(92)90014-r.

DOI:10.1016/0167-6296(92)90014-r

PMID:10124311

Abstract

The recent government White Paper 'Working for Patients' emphasised the use of financial incentives as a means of altering the behaviour of general practitioners (GPs) in the U.K. This paper examines the impact of financial incentives on GPs' behaviour with respect to maternity care and cervical cytology. Changes in per-item fees over the period 1966-89 appear to have had little effect on the numbers of treatments; rather service provision was related to patient demand and the availability of GPs. However, target payments for cervical cytology introduced in 1990 appear to have had a major impact.

摘要

英国政府近期的白皮书《为患者服务》强调利用经济激励措施来改变英国全科医生（GP）的行为。本文研究了经济激励措施对全科医生在产妇护理和宫颈细胞学方面行为的影响。1966年至1989年期间每项费用的变化似乎对治疗数量影响不大；相反，服务提供与患者需求和全科医生的可获得性有关。然而，1990年引入的宫颈细胞学目标支付似乎产生了重大影响。